1
To / From
- Receiving specialty + consultant
- Sender + bleep / contact
2
Patient Details
- Name, MRN, age, location
3
Reason for Referral
- Specific clinical question
4
Background
- Brief PMH, presenting illness, relevant investigations
5
Current Status
- Vitals, NEWS2, examination findings
6
Investigations + Results
- Relevant bloods, imaging
7
Plan to Date
- Treatment given so far
8
Specific Request
- What you want from the referee
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